To register on-line, please complete
the form below and click on submit at
the end. Please complete 1 form per
person.
Note: if you prefer to print a form and
to submit it by fax or email, please click here.
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| 1 - Please enter participant information
below. Do not use caps lock to fill out the
form. |
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| *FIRST NAME: |
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| *LAST NAME: |
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| TITLE: |
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| ORGANIZATION: |
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| DIVISION: |
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| *ADDRESS: |
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| P.O. Box/ Suite / etc.: |
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| *CITY: |
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| *PROVINCE: |
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| *POSTAL CODE: |
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| *TELEPHONE: |
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FAX: |
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| *E-MAIL: |
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| 2 - How did you hear about the conference? |
Word of mouth
Mailing from FHNMA
Email message
Web site
Newspaper Ad
Other
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| 3 - Registration
Fee |
| The registration fee includes all business sessions,
the opening reception on Tuesday evening, November 15, breakfast, lunch, 2 breaks and the
reception and dinner on Wednesday, November 16 and breakfast, lunch and 2 breaks on Thursday, November 17, 2016. |
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Conference Regular Rate (as of
October 8, 2016)
FNHMA Non Member - $ 920 |
Reception and dinner ticket for guest
You may purchase a ticket for a guest
for the Wednesday, November 4 Reception and Dinner
ONLY
$125 Guest Name
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>
Are you GST/HST exempt?
yes
no
Note: The conference is being held in British Columbia where 5% GST applies. The FNHMA HST/GST number is 811344852. If your Indian band is GST/HST exempt, please email a copy of the band's exemption certificate or letter to conference@fnhma.ca. An individual's personal status card is not an accepted document for tax exemption for the conference. |
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| 4 - Method of Payment (Your payment is required
prior to the conference) |
If you are paying by cheque:
1) Please make cheque payable to
FNHMA
2) Mail a copy of your receipt and
cheque to the
FNHMA Conference
Secretariat (address below) |
If you are paying by Credit Card:
1) Complete the credit card
information requested below
2) We accept MasterCard and Visa ONLY |
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| 5 - Payment |
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Your registration will be processed and
confirmation of registration will be sent to you by email.
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| 6 - Cancellation / Substitution |
Cancellation of registration should be sent in writing by email. Cancellations will be accepted until October 14, 2016 for a full refund. A $300 cancellation fee will apply for cancellations received between October 15 and October 24, 2016. There is no refund for cancellations received after October 24, 2016 and no refund for no-shows at the conference. Substitutions are accepted at any time.
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| 7
- Contact Us |
| If you have any questions about the
conference, please contact Micheline
Bélanger at the FNHMA Conference
Secretariat.
Tel: (819) 827-5931 or toll-free 1 (866)
775-1817
E-mail: conference@fnhma.ca
Mailing address:
FNHMA Conference Secretariat
40 chemin du Roc Est
Chelsea, Québec
J9B1T1 |
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